Factors Predicting Chronic Malnutrition Among Young Children in Myanmar

Main Article Content

Thiri Su Mon
Sudaporn Payakkaraung
Somsiri Rungamornrat

Abstract

Chronic malnutrition (i.e., stunting) is one of the significant health problems among children under five years old in Myanmar. The government has been trying to accelerate the reduction of malnutrition by collaborating and coordinating with other government and non-government organizations. However, the prevalence of chronic malnutrition remains high. This study examines the factors that could predict chronic malnutrition among young children using the Myanmar Demographic and Health Survey 2015–2016. Data record forms were used to collect the required information from the original data source. Descriptive statistics, the chi-square test, and logistic regression analysis were applied to analyze the data analysis and to determine the predictive power of independent variables. It was found that breastfeeding, birth weight, and family wealth index were significant predictors of childhood stunting. This study recommends emphasizing low-birth-weight infants to prevent chronic malnutrition and promote breastfeeding for all infants and children in Myanmar. Furthermore, policymakers should try poverty reduction and establish healthcare services that are easily accessible to the public, especially to the poor. Based on the findings of this study, more efforts to set up readily available public health services providing care for pregnant women and promoting breastfeeding would be some better precautions against chronic malnutrition for every child, particularly from developing countries.

Article Details

How to Cite
Su Mon, T. ., Payakkaraung, S., & Rungamornrat , S. . (2023). Factors Predicting Chronic Malnutrition Among Young Children in Myanmar. Journal of Population and Social Studies [JPSS], 31, 637–651. Retrieved from https://so03.tci-thaijo.org/index.php/jpss/article/view/263426
Section
Research Articles
Author Biography

Sudaporn Payakkaraung, Faculty of Nursing, Mahidol University, Thailand

Corresponding

References

• Abbas, F., Kumar, R., Mahmood, T., & Somrongthong, R. (2021). Impact of children born with low birth weight on stunting and wasting in Sindh province of Pakistan: A propensity score matching approach. Scientific Reports, 11(1), Article 19932. https://doi.org/10.1038/s41598-021-98924-7

• Ahmad, D., Afzal, M., & Imtiaz, A. (2020). Effect of socioeconomic factors on malnutrition among children in Pakistan. Future Business Journal, 6(1), Article 30. https://doi.org/10.1186/s43093-020-00032-x

• Astuti, D. R., Handayani, T., & Astuti, D. P. (2020). Cigarette smoke exposure and increased risks of stunting among under-five children. Clinical Epidemiology and Global Health, 8(3), 943–948. https://doi.org/10.1016/j.cegh.2020.02.029

• Belbasis, L., Savvidou, M. D., Kanu, C., Evangelou, E., & Tzoulaki, I. (2016). Birth weight in relation to health and disease in later life: An umbrella review of systematic reviews and meta-analyses. BMC Medicine, 14(1), Article 147. https://doi.org/10.1186/s12916-016-0692-5

• Blankenship, J., Cashin, J., Nguyen, T. V., & Ip, H. (2020). Childhood stunting and wasting in Myanmar: Key drivers and implications for policies and programmes. Maternal and Child Nutrition, 16(S2), Article e12710. https://doi.org/10.1111/mcn.12710

• The Borgen Project. (2019, October 12). Recent Improvements to Girls’ Education in Myanmar. https://borgenproject.org/girls-education-in-myanmar/

• Cetthakrikul, N., Topothai, C., Suphanchaimat, R., Tisayaticom, K., Limwattananon, S., & Tangcharoensathien, V. (2018). Childhood stunting in Thailand: When prolonged breastfeeding interacts with household poverty. BMC Pediatrics, 18(1), Article 395. https://doi.org/10.1186/s12887-018-1375-5

• Dabar, D., Yadav, V., Goel, A. D., Mangal, A., Prasad, P., & Singh, M. (2020). Risk factors for undernutrition in under-five children living in a migrant populated area of South Delhi. Journal of Family Medicine and Primary Care, 9(4), 2022–2027. https://doi.org/10.4103/jfmpc.jfmpc_1185_19

• Evans, W. J., & Lien, D. S. (2005). The benefits of prenatal care: Evidence from the PAT bus strike. Journal of Econometrics, 125(1–2), 207–239. https://doi.org/10.1016/j.jeconom.2004.04.007

• Global Nutrition Report. (2023). Country Nutrition Profiles: Myanmar. https://globalnutritionreport.org/resources/nutrition-profiles/asia/south-eastern-asia/myanmar/

• Global Panel on Agriculture and Food Systems for Nutrition. (2016). The cost of malnutrition: Why policy action is urgent (Technical Brief No. 3). https://www.glopan.org/cost-of-malnutrition/

• Kadima, Y. E. (2012). Factors influencing malnutrition among children under 5 years of age in Kweneng west district of Botswana [PhD dissertation, University of South Africa, Pretoria]. Institutional Repository. https://uir.unisa.ac.za/handle/10500/10605

• Khaing, H. T., Nomura, S., Yoneoka, D., Ueda, P., & Shibuya, K. (2019). Risk factors and regional variations of malnutrition among children under 5 in Myanmar: Cross-sectional analyses at national and subnational levels. BMJ Open, 9(9), Article e030894. https://doi.org/10.1136/bmjopen-2019-030894

• Khanal, V., Sauer, K., Karkee, R., & Zhao, Y. (2014). Factors associated with small size at birth in Nepal: Further analysis of Nepal Demographic and Health Survey 2011. BMC Pregnancy and Childbirth, 14(1), Article 32. https://doi.org/10.1186/1471-2393-14-32

• Kusumawati, M. R. D., Marina, R., & Wuryaningsih, C. E. (2019). Low birth weight as the predictors of stunting in children under five years in Teluknaga sub district province of Banten 2015. KnE Life Sciences, 4(10), 284–293. https://doi.org/10.18502/kls.v4i10.3731

• Lee, C. E., Lakhanpaul, M., Stern, B. M., Sarkar, K., & Parikh, P. (2021). Associations between the household environment and stunted child growth in rural India: A cross-sectional analysis. UCL Open Environment, 2(2), 1–13. https://doi.org/10.14324/111.444/ucloe.000014

• Ministry of Health and Sports & ICF. (2017, March). Myanmar: Demographic and Health Survey 2015-16. https://dhsprogram.com/pubs/pdf/FR324/FR324.pdf

• Mishra, V., & Retherford, R. D. (2007). Does biofuel smoke contribute to anaemia and stunting in early childhood? International Journal of Epidemiology, 36(1), 117–129. https://doi.org/10.1093/ije/dyl234

• Noonan, K., Corman, H., Schwartz-Soicher, O., & Reichman, N. E. (2013). Effects of prenatal care on child health at age 5. Maternal and Child Health Journal, 17(2), 189–199. https://doi.org/10.1007/s10995-012-0966-2

• Ntenda, P. A. M. (2019). Association of low birth weight with undernutrition in preschool-aged children in Malawi. Nutrition Journal, 18(1), Article 51. https://doi.org/10.1186/s12937-019-0477-8

• Okubo, T., Janmohamed, A., Topothai, C., & Blankenship, J. (2020). Risk factors modifying the double burden of malnutrition of young children in Thailand. Maternal and Child Nutrition, 16(S2), Article e12910. https://doi.org/10.1111/mcn.12910

• Poda, G. G., Hsu, C., & Chao, J. C. (2017). Factors associated with malnutrition among children <5 years old in Burkina Faso: Evidence from the Demographic and Health Surveys IV 2010. International Journal for Quality in Health Care, 29(7), 901–908. https://doi.org/10.1093/intqhc/mzx129

• Ranathunga, N., Perera, P., Nandasena, S., Sathiakumar, N., Kasturiratne, A., & Wickremasinghe, A. R. (2021). Effects of indoor air pollution due to solid fuel combustion on physical growth of children under 5 in Sri Lanka: A descriptive cross sectional study. PLOS ONE, 16(5), Article e0252230. https://doi.org/10.1371/journal.pone.0252230

• Rathaur, V. K., Pathania, M., Pannu, C., Jain, A., Dhar, M., Pathania, N., & Goel, R. (2018). Prevalent infant feeding practices among the mothers presenting at a tertiary care hospital in Garhwal Himalayan region, Uttarakhand, India. Journal of Family Medicine and Primary Care, 7(1), 45–52. https://doi.org/10.4103/jfmpc.jfmpc_413_16

• Reinhardt, K., & Fanzo, J. (2014). Addressing chronic malnutrition through multi-sectoral, sustainable approaches: A review of the causes and consequences. Frontiers in Nutrition, 1, Article 13. https://doi.org/10.3389/fnut.2014.00013

• Republic of the Union of Myanmar. (2014). Myanmar Policy for Early Childhood Care and Development. https://themimu.info/sites/themimu.info/files/documents/Ref_Doc_Early_Childhood_Care_Development_Policy_2014.pdf

• Republic of the Union of Myanmar. (2018, July). Myanmar Multi-Sectoral National Plan of Action on Nutrition (MS-NPAN) 2018/19-2022/23. https://leap.unep.org/countries/mm/national-legislation/multi-sectoral-national-plan-action-nutrition-ms-npan-201819

• Rizal, M., & van Doorslaer, E. (2019). Explaining the fall of socioeconomic inequality in childhood stunting in Indonesia. SSM-Population Health, 9, Article 100469. https://doi.org/10.1016/j.ssmph.2019.100469

• Sablah, M. (2019). Causes and Impacts of Undernutrition over the Life Course. UNICEF. https://www.un.org/en/development/desa/population/events/pdf/expert/30/presentations/Tuesday/Session4/Causes%20-%20Consequences%20of%20Undernutrition%20ICPD%20-%20UNICEF.pdf

• Santosa, A. B., Arif, E. N., & Ghoni, D. A. (2022). Effect of maternal and child factors on stunting: Partial least squares structural equation modeling. Clinical and Experimental Pediatrics, 65(2), 90–97. https://doi.org/10.3345/cep.2021.00094

• Sari, N., Manjorang, M. Y., Zakiyah, Z., & Randell, M. (2021). Exclusive breastfeeding history risk factor associated with stunting of children aged 12–23 months. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 16(1), 28–32. https://doi.org/10.21109/kesmas.v16i1.3291

• Simbolon, D., Jumiyati, J., Ningsih, L., & Riastuti, F. (2021). Is there a relationship between pregnant women’s characteristics and stunting incidence in Indonesia? KEMAS: Jurnal Kesehatan Masyarakat, 16(3), 331–339. https://doi.org/10.15294/kemas.v16i3.23550

• Sk, R., Banerjee, A., & Rana, M. J. (2021). Nutritional status and concomitant factors of stunting among pre-school children in Malda, India: A micro-level study using a multilevel approach. BMC Public Health, 21(1), Article 1690. https://doi.org/10.1186/s12889-021-11704-w

• Statista. (2023, March 10). Adolescent fertility rate in Myanmar 2010-2020. https://www.statista.com/statistics/743148/myanmar-adolescent-fertility-rate/

• Sutcliffe, A. G., Barnes, J., Belsky, J., Gardiner, J., & Melhuish, E. (2012). The health and development of children born to older mothers in the United Kingdom: Observational study using longitudinal cohort data. BMJ, 345, Article e5116. https://doi.org/10.1136/bmj.e5116

• Talukder, A. (2017). Factors associated with malnutrition among under-five children: Illustration using Bangladesh Demographic and Health Survey, 2014 Data. Children (Basel), 4(10), Article 88. https://doi.org/10.3390/children4100088

• Tello, B., Rivadeneira, M. F., Moncayo, A. L., Buitron, J. G., Astudillo, F., Estrella, A., & Torres, A. R. R. (2022). Breastfeeding, feeding practices and stunting in indigenous Ecuadorians under 2 years of age. International Breastfeeding Journal, 17(1), Article 19. https://doi.org/10.1186/s13006-022-00461-0

• Tette, E. M. A., Sifah, E. K., & Nartey, E. T. (2015). Factors affecting malnutrition in children and the uptake of interventions to prevent the condition. BMC Pediatrics, 15(1), Article 189. https://doi.org/10.1186/s12887-015-0496-3

• Toe, S. Y., Higuchi, M., Htay, S. S., & Hamajima, N. (2021). Health care seeking behaviors regarding maternal care and the associated factors among married women in Naung Cho Township, Myanmar. Nagoya Journal of Medical Science, 83(4), 727–740. https://doi.org/10.18999/nagjms.83.4.727

• Traverso, V. (2020, May 5). The best trees to reduce air pollution. BBC Future. https://www.bbc.com/future/article/20200504-which-trees-reduce-air-pollution-best

• ul Haq, I., Mehmood, Z., Afzal, T., Khan, N., Ahmed, B., N., Ali, L., Khan, A., Muhammad, J., Khan, E., Khan, J., Zakki, S. A., Xu, J., & Shu, Y. (2022). Prevalence and determinants of stunting among preschool and school-going children in the flood-affected areas of Pakistan. Brazilian Journal of Biology, 82, Article e249971. https://doi.org/10.1590/1519-6984.249971

• UNCDF. (2021). Consequences of chronic malnutrition. UnitLife. https://www.unitlife.org/chronic-malnutrition-in-details

• UNICEF. (2022, December). Antenatal care. UNICEF DATA. https://data.unicef.org/topic/maternal-health/antenatal-care/

• United Nations Children’s Fund (UNICEF) & World Health Organization (WHO). (2019, May). UNICEF-WHO Low birthweight estimates: Levels and trends 2000–2015: New global, regional and national estimates of low birthweight. https://www.unicef.org/reports/UNICEF-WHO-low-birthweight-estimates-2019

• United Nations Children’s Fund (UNICEF), World Health Organization (WHO), & World Bank Group. (2021). Levels and trends in child malnutrition: UNICEF/WHO/The World Bank Group joint child malnutrition estimates: Key findings of the 2021 edition. World Health Organization. https://www.who.int/publications/i/item/9789240025257

• Valid Nutrition. (2018). Chronic malnutrition. https://www.validnutrition.org/chronic-malnutrition/

• Wali, N., Agho, K. E., & Renzaho, A. M. N. (2020). Factors associated with stunting among children under 5 years in five South Asian countries (2014–2018): Analysis of Demographic Health Surveys. Nutrients, 12(12), Article 3875. https://doi.org/10.3390/nu12123875

• Wemakor, A., Garti, H., Diji, A. K., Garti, H. A., & Atosona, A. (2018). Young maternal age is a risk factor for child undernutrition in Tamale Metropolis, Ghana. BMC Research Notes, 11(1), Article 877. https://doi.org/10.1186/s13104-018-3980-7

• World Health Organization. (2014, December 20). Global nutrition targets 2025: Policy brief series (WHO/NMH/NHD/14.2). https://www.who.int/publications/i/item/WHO-NMH-NHD-14.2

• World Health Organization. (2015, November 19). Stunting in a nutshell. https://www.who.int/news/item/19-11-2015-stunting-in-a-nutshell

• Yirga, A. A., Mwambi, H., Ayele, D. G., & Melesse, S. F. (2019). Factors affecting child malnutrition in Ethiopia. African Health Sciences, 19(2), 1897–1909. https://doi.org/10.4314/ahs.v19i2.13

• Yisak, H., & Ewunetei, A. (2020). Prevalence of malnutrition and its associated factors among under five children at Debretabor town North-West Ethiopia. Archives of Community Medicine and Public Health, 6(2), 213–222. https://doi.org/10.17352/2455-5479.000109